Provider Demographics
NPI:1609415793
Name:SCOTT, MELANIE (RN, FNPC)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:RN, FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:991 OAK ST
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:OH
Mailing Address - Zip Code:44044-1420
Mailing Address - Country:US
Mailing Address - Phone:440-371-9928
Mailing Address - Fax:
Practice Address - Street 1:830 EAST BROAD ST
Practice Address - Street 2:UH HOSPITALS ELYRIA
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035
Practice Address - Country:US
Practice Address - Phone:440-271-9928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-06
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN390526163W00000X
OHAPRN.CNP.026564363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse